Non-operative Posterior Tibial Tendonitis Treatment

Initially, posterior tibial tendonitis is treated without surgery. This includes special shoe inserts, walking boots, or perhaps a short leg cast. The goal of these treatments is to rest the PTT and decrease the inflammation. The inserts and boots provide a stiff platform for the foot and prevent motion between the mid foot and the rear foot. If this motion is successfully prevented, then the inflammation should decrease. Although casts are more bulky, they are the safest method of ensuring that the tendon is rested properly. Anti-inflammatory drugs and activity modification are other treatments that are considered for posterior tibial tendonitis.

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